April 2021; papers of the month

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 1 April 2021

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

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Summary

Well if last month was based on cardiac arrest, this month takes a deeper look at airways!

First up we take a look at a paper that benchmarks the use of video laryngoscopy, specifically with the C-MAC and gives some really useful information from a Swiss HEMS service on first-pass success, the relevance of operator experience on success and factors that alter intubation success.

Next up we're looking at blood in the airway with epistaxis...okay it's a tenuous link, but it pretty much works! The NOPAC study looks at the use of TXA in atraumatic epistaxis and compare it to placebo use, will TXA come up trumps in this setting?

Finally we take a look at the use of scalpel cricothyroidotomy within the London HEMS service over a 20 year period, with a number of things we can learn from this experience.

Once again we'd love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.

Simon & Rob

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:11.8	So hi, and welcome back to the recess room podcast. I'm Simon Lang. And I'm Rob Fenwick.
0:17.8	And this is April 2021's Papers of the Month. Absolutely. And I've had a little bit
0:24.1	of a break. So I would like to say a massive thank you to Amy Yarrington for flying the NMC flag and
0:29.5	keeping you two boys in check on the maternity episode. I had a listen as a listener. And it was an
0:34.8	awesome episode. So thanks very much to Amy. Definitely no thanks to
0:39.5	you too. Well, we were hoping it was a little bit more than the break, Rob, but great to see you back.
0:44.6	So thanks very much for that. But we're back with three great papers this month, aren't we?
0:50.5	So we've got one that's looking at video laryngoscopy in a pre-hospital environment.
0:55.3	Your paper, which looks at epistaxis and the use of tronexamic acid. And then finally, when the
1:00.8	airway management is not going quite as you might have hoped, we're going to have a look at a paper
1:05.6	covering surgical chrychothyroidotomy's. We are. So it is all above the shoulders this month, Simon Lang.
1:13.8	Yeah, that was right.
1:15.1	Just trying to identify where the chrykithyrid membrane was.
1:20.3	Definitely not below.
1:21.7	Definitely not below.
1:23.2	Before we get into it, anyway, a big thanks to S.J. Trem,
1:26.6	the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine,
1:30.0	who partner with us on this project and make it all free and open access available for you all to listen to.
1:36.2	So make sure you go over and check out their resource on the website, which we hyperlink through to on ours.
1:42.0	But without further ado, let's crack in to April 2021's Papers of the Month.
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